The organic electrochemical transistor (OECT)-based synergistic Nernst potential—generated via the Pt gate electrode catalyzing hydrogen peroxide (H2O2) and the interaction between bromothymol blue (BTB) molecules and hydrogen ions (the by-product of H2O2 catalysis)—is leveraged for the ultra-low detection of H2O2 down to 1.8 × 10-12 M, with a broad linear detection range from 10-11 M to 10-3 M. The formation of this potential is determined by selecting a source-drain voltage (VDS) and a gate voltage (VG) of −0.6 V as the optimal operating points, and by adopting the stacked-layer poly(3,4-ethylenedioxythiophene):bromothymol blue/poly(3,4-ethylenedioxythiophene):polystyrene sulfonate (PEDOT:BTB/PEDOT:PSS) as the semiconducting channel material. In addition, relevant verification is provided by characterizing the carrier (de)doping capability of the stacked layers using UV–vis spectroscopy, identifying the optimal operating point via electrochemical measurements, and evaluating the sensing performance of the as-constructed OECT-based H2O2 sensor using single-stage constant-voltage scanning. Finally, the OECT-based H2O2 sensor is fabricated via a micro-nano manufacturing process, including the preparation of stacked semiconducting layers by spin-coating and the fabrication of microelectrodes via the lift-off process and magnetron sputtering. This methodology can open a broad avenue for the ultra-low detection of analytes through enzyme-catalyzed reactions.